Organization
SENECTUM MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS J ATKINSON NP (OWNER)
(513) 878-0907
Entity
Organization
Contact information
Practice address
954 SEDGEFIELD CT, MAINEVILLE, OH 45039-7513
(513) 275-6551
(513) 880-0849
Mailing address
PO BOX 1060, UNIONTOWN, OH 44685-1060
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
01/30/2024
Last updated
03/31/2026
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